Organization
BROOKSHIRE BROTHERS INC
Active
Other names
BROOKSHIRE BROTHERS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ALSTON (CHIEF OPERATIONS OFFICER)
(936) 634-8155
Entity
Organization
Contact information
Practice address
412 W PANOLA ST, CARTHAGE, TX 75633-2537
(903) 693-6791
(903) 693-6797
Mailing address
412 W PANOLA ST, CARTHAGE, TX 75633-2537
(903) 693-6791
(903) 693-6797
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
19297
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2091155
PK
—
05
—
464248
—
TX
Enumeration date
09/22/2006
Last updated
02/06/2020
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